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Individual
MARIE DALY WILSON
Active
Individual
MARIE DALY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23909
TN
363LF0000X
Family Nurse Practitioner
663438
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175647002
—
TX
01
—
8N8460
BLUE CROSS BLUE SHIELD
TX
Enumeration date
07/28/2005
Last updated
10/31/2019
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